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Conferences WPQC The Journal

PSW Transitions of Care Toolkit References

PSW would like to thank the 2013 - 2014 PSW PPMI Leadership Team for their work on this pharmacy practice advancement resource.

 
Organization      Contributors
 Aurora Health Care      Tom Woller
Nick Ladell
Ashley Purohit
Jess Zahn

 Froedtert & The Medical College of Wisconsin      Todd Karpinski
Lindsey Clark
Alyssa Ferrie
Chad Johnson

 Ministry St. Joseph's Hospital      Vanessa Freitag
Mike Endries

 UW Hospital and Clinics      Steve Rough
Maria Ajami
Emmanuel Akinwole
Russell Findlay
Amanda Gordon
Jordan Rush
Heather Schrant
Matt Wolf

 William S. Middleton VA Medical Center      Andrew Wilcox
Sam Weitzel

 Other contributors      Chris Decker
Sarah Sorum
Tom Thielke

References

Discharge Medication Reconciliation

  1. Cassano A. ASHP-APhA Medication Management in Care Transitions Best Practices. APhA website. 2013. Available at: http://media.pharmacist.com/practice/ASHP_APhA_MedicationManagementinCareTransitionsBestPracticesReport2_2013.pdf. Accessed September 20th, 2013.
  2. Graabaek T, Kjeldsen LJ. Medication reviews by clinical pharmacists at hospitals lead to improved patient outcomes: a systematic review. Basic Clin Pharmacol Toxicol. 2013;112(6):359-373.
  3. Hume AL, Kirwin J, Bieber HL, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326–e337.
  4. Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Hospital-based medication reconciliation practices: a systematic review. Arch Intern Med. 2012;172(14):1057-1069.

Discharge Patient Education

  1. Lee AJ, Borham A, Korman NE, Keeney BE, Mock ED. Staff development in pharmacist-conducted patient education and counseling. Am J Health Syst Pharm. 1998 Sep 1;55(17):1792-8.
  2. Soflin D, Young WW, Clayton BD. Development and evaluation of an individualized patient education program about digoxin. Am J Hosp Pharm. 1977 Apr;34(4):367-71.
  3. Clark PM, Karagoz T, Apikoglu-Rabus S, Izzettin FV. Effect of pharmacist-led patient education on adherence to tuberculosis treatment. Am J Health Syst Pharm. 2007 Mar 1;64(5):497-505.
  4. Wilhelm SM, Petrovitch EA. Implementation of an inpatient anticoagulation teaching service: expanding the role of pharmacy students and residents in patient education. Am J Health Syst Pharm. 2011 Nov 1;68(21):2086-93.
  5. Makowski CT, Jennings DL, Nemerovski CW, Szandzik EG, Kalus JS. The impact of  pharmacist-directed patient education and anticoagulant care coordination on patient satisfaction. Ann Pharmacother. 2013 Jun;47(6):805-10.
  6. Evans E, Patry R. Management of gestational diabetes mellitus and pharmacists' role in patient education. Am J Health Syst Pharm. 2004 Jul 15;61(14):1460-5.
  7. Talbert RL. Overview of advances in cardiovascular disease treatment and prevention: the evolving role of antiplatelet therapy. Am J Health Syst Pharm. 2008 Jul 1;65(13 Suppl 5):S1-5; quiz S16-8.
  8. Canales PL, Dorson PG, Crismon ML. Outcomes assessment of clinical pharmacy services in a psychiatric inpatient setting. Am J Health Syst Pharm. 2001 Jul 15;58(14):1309-16.
  9. March K, Mak M, Louie SG. Effects of pharmacists' interventions on patient outcomes in an HIV primary care clinic. Am J Health Syst Pharm. 2007 Dec 15;64(24):2574-8.
  10. Ciminelli AM, Dupuis R, Williams D, Hollar K, Fair JH, Johnson M, Gerber D. Patient education role of a pharmacist on a transplant service. Am J Health Syst Pharm. 2000 Apr 15;57(8):767-8.
  11. Maldonado AQ, Weeks DL, Bitterman AN, McCleary JA, Seiger TC, Carson RW, Tabon PK, Goroski AL, Ojogho ON. Changing transplant recipient education and inpatient transplant pharmacy practices: a single-center perspective. Am J Health Syst Pharm. 2013 May 15;70(10):900-4.
  12. Chisholm MA, Lance CE, Mulloy LL. Patient factors associated with adherence to immunosuppressant therapy in renal transplant recipients. Am J Health Syst Pharm. 2005 Sep 1;62(17):1775-81.
  13. Viele CS. Managing oral chemotherapy: the healthcare practitioner's role. Am J Health Syst Pharm. 2007 May 1;64(9 Suppl 5):S25-32.
  14. Barrons R, Pegram A, Borries A. Inhaler device selection: special considerations in elderly patients with chronic obstructive pulmonary disease. Am J Health Syst Pharm. 2011 Jul 1;68(13):1221-32.
  15. Benavides S, Rodriguez JC, Maniscalco-Feichtl M. Pharmacist involvement in improving asthma outcomes in various healthcare settings: 1997 to present. Ann Pharmacother. 2009 Jan;43(1):85-97.
  16. Patient education, early anti-inflammatory therapy are keys to better asthma care, say new federal guidelines. Am J Health Syst Pharm. 1997 Apr 15;54(8):862, 867.
  17. Warden BA, Freels JP, Furuno JP, Mackay J. Pharmacy-managed program for providing education and discharge instructions for patients with heart failure. Am J Health Syst Pharm. 2014 Jan 15;71(2):134-9.
  18. Sandhoff BG, Nies LK, Olson KL, Nash JD, Rasmussen JR, Merenich JA. Clinical pharmacy cardiac risk service for managing patients with coronary artery disease in a health maintenance organization. Am J Health Syst Pharm. 2007 Jan 1;64(1):77-84.
  19. Cassano A. ASHP-APhA Medication Management in Care Transitions Best Practices. APhA website. 2013. Available at: http://media.pharmacist.com/practice/ASHP_APhA_MedicationManagementinCareTransitionsBestPracticesReport2_2013.pdf. Accessed September 20th, 2013.
  20. Graabaek T, Kjeldsen LJ. Medication reviews by clinical pharmacists at hospitals lead to improved patient outcomes: a systematic review. Basic Clin Pharmacol Toxicol. 2013;112(6):359-373.
  21. Hume AL, Kirwin J, Bieber HL, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326–e337.
  22. Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Hospital-based medication reconciliation practices: a systematic review. Arch Intern Med. 2012;172(14):1057-1069.

Discharge Prescription Management

 

 

Pharmacy Hand off Communication

  1. Coleman EA. Falling through the cracks: challenges and opportunities for improving transitional care for persons with continuous complex care needs. J Am Geriatr Soc. 2003 Apr;51(4):549-55.
  2. Forster AJ, Murff HJ, Peterson JF, et al. The incidence and severity of adverse events affecting patients after discharge from the hospital. Ann Intern Med. 2003;138(3):161–7.
  3. Kripalani S, LeFevre F, Phillips CO, et al. Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. JAMA. 2007;297(8):831–41.
  4. American College of Clinical Pharmacy et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-7.
  5. Cassano et al. Best practices from the ASHP-APhA medication management in care transitions initiative (2013).
  6. National Quality Forum. Endorsing Preferred Practices and Performance Measures for Measuring and Reporting Care Coordination: A Consensus Report (2010).
  7. Lounsbery JL, Green CG, Bennett MS, Pedersen CA. Evaluation of pharmacists' barriers to the implementation of medication therapy management services. J Am Pharm Assoc. 2009 Jan-Feb;49(1):51-8.
  8. Moore JM, Shartle D, Faudskar L, et al. Impact of a patient-centered pharmacy program and intervention in a high-risk group. J Manag Care Pharm. 2013 Apr;19(3):228-36.
  1. American College of Clinical Pharmacy et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-7.
  2. Cassano et al. Best practices from the ASHP-APhA medication management in care transitions initiative (2013). http://media.pharmacist.com/practice/ASHP_APhA_MedicationManagementinCareTransitionsBestPracticesReport2_2013.pdf. Accessed December 13, 2013.
  3. Imberg AJ, Swanoski MT, Renier CM, et al. Maximizing medication therapy management services through a referral initiative. Am J Health-Syst Pharm. 2012;69: 1234-1239.
  4. National Transitions of Care Coalition et al. Improving transitions of care (2008). http://www.ntocc.org/Portals/0/PDF/Resources/PolicyPaper.pdf. Accessed December 13, 2013.
  5. Martinez AS, Saef J, Paszczuk A, et al. Implementation of a pharmacist-managed heart failure medication titration clinic. Am J Health-Syst Pharm. 2013;70:1070-1076.
  6. Pharmacy Society of Wisconsin. Wisconsin Pharmacy Quality Collaborative. 2013. www.pswi.org/wpqc. Accessed January 2, 2014.

Toolkit Table of Contents

The following resource pages are provided as a PSW member service. Members will have access to the materials by logging in.
PSW Transitions of Care ToolkitPSW Transitions of Care Toolkit

PSW Transitions of Care Toolkit

Business Case ResourcesBusiness Case Resources

Business Case Resources

Discharge Medication ReconciliationDischarge Medication Reconciliation

Discharge Medication Reconciliation

Discharge Patient EducationDischarge Patient Education

Discharge Patient Education

Discharge Prescription ManagementDischarge Prescription Management

Discharge Prescription Management

Follow-up CommunicationFollow-up Communication

Follow-up Communication

Pharmacy Hand off CommunicationPharmacy Hand off Communication

Pharmacy Hand off Communication

ReferencesReferences

References


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